Healthcare Provider Details

I. General information

NPI: 1750116802
Provider Name (Legal Business Name): SAFIYA NUR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HUGO CIR
SILVER SPRING MD
20906-5921
US

IV. Provider business mailing address

1613 HUGO CIR
SILVER SPRING MD
20906-5921
US

V. Phone/Fax

Practice location:
  • Phone: 240-475-6462
  • Fax:
Mailing address:
  • Phone: 240-475-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29960
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: